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NPI Code Detail

MEDICARE: SHARON DAUGHERTY

MEDICARE: SHARON DAUGHERTY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.182336OH
2171M00000XCase Manager/Care Coordinator

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CDCA.182336OTHEROHCHEMICAL DEPENDENCY PROFESSIONALS BOARD

General Provider Information

NPI Number : 1427774637
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON DAUGHERTY
Provider Business Mailing Address
First Line : 2345 DORR ST
Second Line :
City : TOLEDO
State : OH
Zip : 43607-3423
Country : US
Telephone Number : 419-407-5342
Fax Number :
Provider Business Practice Location Address
First Line : 2345 DORR ST
Second Line :
City : TOLEDO
State : OH
Zip : 43607-3423
Country : US
Telephone Number : 419-407-5342
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2022
Last Update Date : 11/15/2024

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Directions to “ SHARON DAUGHERTY ” Practice Location

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